MC-16-2422 A Miami Shores Village r .
AU 31 2016
Building Department
IT .-
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 - --
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION UNE PHONE NUMBER:(305)762-4949
FBC 20 i 4
BUILDING Master Permit No. Mc 16-2,422-
PERMIT
6-2422.PERMIT APPLICATION Sub Permit No.
❑BUILDING F] ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [-]RENEWAL
❑PLUMBING 0 MECHANICAL []PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION [:] SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
11300 NE 2nd Ave ( Barry University)
Cit : Miami Shores County: Miami Dade Zi :
Folio/Parcel#: 11-2136-000-0050 Is the Building Historically Designated:Yes NO X
Occupancy Type: Campus Load: Construction Type: Flood Zone: BFE: FFE:
Bar College Phone#:305 899-3797
OWNER:Name(Fee Simple Titleholder,.
Barry g
Address: 11300 NE 2nd Ave
City:
Miami Shoures State: FI zip: 33161
Bar College Phone#:305 899-3785
Tenant/Lessee Name:
Barry g
Email: ITardif@barry.edu
Trane Phone#: 954 499-6900
CONTRACTOR:Company Name:
Address: 2884 Corporate Way
Miramar State: FI zip: 33025
City: 954 499-6900
Qualifier Name: Mike A Levine Phone#:
State Certification or Registration#:
Certificate of Competency#: CACO23485
DESIGNER:Architect/Engineer: N/A Phone#: N/A
Address:N/A City: N/A State: Zip:
Value of Work for this Permit:$46,980 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New 0 Repair/Replace ❑ Demolition
Description of Work: Replace Compressors and Condenser coils only on Roof Top Top Air Conditioning Unit
�� �^ ���° N -� BVI•V r e ui
Specify color of color thru tile: ° Z®
Submittal Fee$ Permit Fee$ �%CCF�$__�—nCOXC$
::0-
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014) ��4
1
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City
State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the bui2gq permit is issued*CONTRACTOR In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged:;'Signature fir l ' � r k f�iSignature
OWNER or AGENT
The foregoing instrument acknowledged before me this The foregoing instrument was acknowledged before me this
— 1 day of 4yW r 20 l� by day of V 7' US 4' 20 16 , by
wh�.isriPrsonally known to M164AaL L05✓Jwh is personally known o
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
h
QubHs g0te of Fio►�daY80Seal: +#y., GENIAT T ERICESeal: My w FR 160491 = L Commission#FF 148136
s 1lnanole ='I =� August 5,2018
P. Expires Aug e
�•.14 Bonded Tlw Troy Fain Inwronoo ��
APPROVED BY 6A Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
V